Provider Demographics
NPI:1487084521
Name:LIN, HELEN JS (LCSW)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:JS
Last Name:LIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 FOLSOM ST
Mailing Address - Street 2:APT 741
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1174
Mailing Address - Country:US
Mailing Address - Phone:415-577-9759
Mailing Address - Fax:
Practice Address - Street 1:842 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-2315
Practice Address - Country:US
Practice Address - Phone:415-577-9579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA255281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA25528OtherCALIFORNIA BOARD OF BEHAVIORAL SCIENCES